Ford, Kathleen Marie
Ford, Kathleen Marie is an sole proprietor health care provider with primary practice located at 1005 Patina Pt , Peachtree City GA 30269-4012. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ford, Kathleen Marie can be contacted via phone (770) 632-5483.Contact Information
Primary practice address
1005 Patina Pt
Peachtree City GA 30269-4012
Phone: (770) 632-5483
Fax: (770) 632-1127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1609924612 |
|---|---|
| LBN Legal business name | Ford, Kathleen Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609924612 | NPPES |
| Georgia | Other | 10048433 | AMERIGROUP CMO |
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